Literature DB >> 26542290

Monaural or binaural sound deprivation in postlingual hearing loss: Cochlear implant in the worse ear.

Andrea Canale1, Giulia Dalmasso1, Federico Dagna1, Michelangelo Lacilla1, Carla Montuschi1, Rosalba Di Rosa1, Roberto Albera1.   

Abstract

OBJECTIVES/HYPOTHESIS: To determine whether speech recognition scores (SRS) differ between adults with long-term auditory deprivation in the implanted ear and adults who received cochlear implant (CI) in the nonsound-deprived ear, either for hearing aid-assisted or due to rapidly deteriorating hearing loss. STUDY
DESIGN: Retrospective study.
METHODS: Speech recognition scores at evaluations (3 and 14 months postimplantation) conducted with CI alone at 60-dB sound pressure level intensity were compared in 15 patients (4 with bilateral severe hearing loss; 11 with asymmetric hearing loss, 7 of which had contralateral hearing aid), all with long-term auditory deprivation (mean duration 16.9 years) (group A), and in 15 other patients with postlingual hearing loss (10 symmetric, 5 asymmetric with bimodal stimulation) (controls, group B).
RESULTS: Comparison of mean percentage of correctly recognized words on speech audiometry at 3 and 14 months showed improvement within each group (P < 0.05). Between-group comparison showed no significant difference at 3 (P = 0.17) or 14 months (P = 0.46). Comparison of SRSs in group A (bimodal stimulation [n = 7] and binaural sound deprivation [n = 4]) versus group B showed no significant differences at 3 (bimodal stimulation P = 0.16; binaural sound deprivation P = 0.19) or 14 months (bimodal stimulation P = 0.14; binaural sound deprivation P = 0.82).
CONCLUSIONS: Speech recognition scores in monaural and binaural sound-deprived ears did not significantly differ from ears with unilateral cochlear implantation in nonsound-deprived ears when tested with CI alone. Improvement in the implanted worse ear indicates that it could be a potential candidate ear for cochlear implantation even when sound deprived. LEVEL OF EVIDENCE: 4. Laryngoscope, 126:1905-1910, 2016.
© 2015 The American Laryngological, Rhinological and Otological Society, Inc.

Entities:  

Keywords:  Adults; auditory deprivation; choice of ear; cochlear implant; speech perception

Mesh:

Year:  2015        PMID: 26542290     DOI: 10.1002/lary.25774

Source DB:  PubMed          Journal:  Laryngoscope        ISSN: 0023-852X            Impact factor:   3.325


  2 in total

1.  Cochlear Implant Results in Older Adults with Post-Lingual Deafness: The Role of "Top-Down" Neurocognitive Mechanisms.

Authors:  Milena Zucca; Andrea Albera; Roberto Albera; Carla Montuschi; Beatrice Della Gatta; Andrea Canale; Innocenzo Rainero
Journal:  Int J Environ Res Public Health       Date:  2022-01-25       Impact factor: 3.390

2.  Control of Disabling Vertigo in Ménière's Disease Following Cochlear Implantation without Labyrinthectomy.

Authors:  Andrea Canale; Giulia Dalmasso; Roberto Albera; Sergio Lucisano; George Dumas; Flavio Perottino; Andrea Albera
Journal:  Audiol Res       Date:  2022-07-22
  2 in total

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